Status:

COMPLETED

A Trial to Evaluate Natural Orifice Transvaginal Endoscopic Cholecystectomy With Laparoscopic Assistance

Lead Sponsor:

Ethicon Endo-Surgery

Conditions:

Gallbladder Disease

Eligibility:

FEMALE

18+ years

Phase:

NA

Brief Summary

The study will document being able to successfully remove a subject's gallbladder through the vagina (laparoscopic visualization)using a small collection of study surgical tools.

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Women will be enrolled in this study who:
  • Are willing to give consent and comply with evaluation and treatment schedule, able to understand and complete study questionnaires;
  • At least 18 years of age;
  • Have a clinical diagnosis of gallbladder disease indicated for cholecystectomy;
  • ASA Classification I or II (Appendix II);
  • Have a negative serum pregnancy test (for women of childbearing potential); and
  • Absence, on visual inspection, of adhesions judged to be a potentially complicating factor in transvaginal access and operation.
  • Exclusion Criteria
  • Subjects will be excluded from the study for any of the following:
  • BMI \> 35;
  • Use of immunosuppressive medications (within 6 months of surgery; single burst dosages and inhalable steroids are acceptable);
  • Suspicion of gallbladder cancer, tumor, polyps, or mass;
  • Acute cholecystitis or acute pancreatitis;
  • Presence of common bile duct stones;
  • History of cervical or vaginal cancer (or precancerous findings on most recent Pap Test);
  • Pelvic Inflammatory Disease;
  • Evidence of abdominal abscess or mass;
  • Diffuse peritonitis;
  • Use of anticoagulants or anti-platelet agents (use of daily cardio protective doses of aspirin, up to 81 mg/day, is acceptable and shall not constitute an exclusion criterion) or the presence of coagulopathy;
  • Clinical diagnosis of sepsis;
  • History of ectopic pregnancy, pelvic inflammatory disease, or severe endometriosis;
  • History of peritoneal or vaginal trauma;
  • Co-morbid condition(s) that could limit the subject's ability to participate in the study or to comply with follow-up requirements, or that could impact the scientific integrity of the trial;
  • Planned concurrent surgical procedure;
  • Prior or planned major surgical procedure within 30 days before or after study procedure;
  • History of transvaginal surgery;
  • History of (or symptomatic for) abdominal adhesions;
  • Participation in any other investigational device or drug trial that has not completed the primary endpoint or that clinically interferes with the current study endpoints;
  • Previously enrolled in the current series of 4 trials investigating the EES NOTES GEN1 Toolbox;
  • Any contraindication listed in a study device Instructions for Use (IFU) document (if that device may be used in the study procedure); or
  • Any condition which precludes compliance with the study (Investigator discretion).

Exclusion

    Key Trial Info

    Start Date :

    April 1 2009

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 1 2011

    Estimated Enrollment :

    7 Patients enrolled

    Trial Details

    Trial ID

    NCT00889928

    Start Date

    April 1 2009

    End Date

    August 1 2011

    Last Update

    November 24 2011

    Active Locations (1)

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    1

    Northwestern University Feinberg School of Medicine - ATTN: Dr Hungness

    Chicago, Illinois, United States, 60611